Chikungunya
Authors: Davidson H. Hamer, Lin H. Chen
Journal: Annals of Internal Medicine (2015)

Letters7 April 2015ChikungunyaDavidson H. Hamer, MD and Lin H. Chen, MDDavidson H. Hamer, MDFrom Center for Global Health and Development, Boston University School of Public Health, Boston, and Mount Auburn Hospital, Cambridge, Massachusetts.Search for more papers by this author and Lin H. Chen, MDFrom Center for Global Health and Development, Boston University School of Public Health, Boston, and Mount Auburn Hospital, Cambridge, Massachusetts.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/L15-5076-3 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:We agree with Dr. Rodriguez-Cintron about the importance of chikungunya virus infections in Puerto Rico. Because of the large numbers of islands and countries affected by this widespread outbreak, our article on chikungunya virus in the Americas was unable to include a comprehensive list of all locations with autochthonous transmission (1); however, the Pan American Health Organization regularly provides updated case numbers and incidence rates for each island and country (2). As of 20 February 2015, Puerto Rico has reported 24 714 suspected and 4302 confirmed cases, with an incidence rate of 787 cases per 100 000 persons. According to ...References1. Hamer DH, Chen LH. Chikungunya: establishing a new home in the Western hemisphere. Ann Intern Med. 2014;161:827-8. [PMID: 25244354] doi:10.7326/M14-1958 LinkGoogle Scholar2. Pan American Health Organization; World Health Organization. Chikungunya. 2015. Accessed at www.paho.org/hq/index.php?Itemid=40931 on 25 February 2015. Google Scholar3. Sissoko D, Malvy D, Ezzedine K, Renault P, Moscetti F, Ledrans M, et al. Post-epidemic Chikungunya disease on Reunion Island: course of rheumatic manifestations and associated factors over a 15-month period. PLoS Negl Trop Dis. 2009;3:e389. [PMID: 19274071] doi:10.1371/journal.pntd.0000389 CrossrefMedlineGoogle Scholar4. Roques P, Gras G. Chikungunya fever: focus on peripheral markers of pathogenesis [Editorial]. J Infect Dis. 2011;203:141-3. [PMID: 21288810] doi:10.1093/infdis/jiq026 CrossrefMedlineGoogle Scholar5. Simon F, Javelle E, Oliver M, Leparc-Goffart I, Marimoutou C. Chikungunya virus infection. Curr Infect Dis Rep. 2011;13:218-28. [PMID: 21465340] doi:10.1007/s11908-011-0180-1 CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAffiliations: From Center for Global Health and Development, Boston University School of Public Health, Boston, and Mount Auburn Hospital, Cambridge, Massachusetts.Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M14-1958. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoChikungunya: Establishing a New Home in the Western Hemisphere Davidson H. Hamer and Lin H. Chen Chikungunya: Establishing a New Home in the Western Hemisphere Davidson H. Hamer and Lin H. Chen Chikungunya William Rodriguez-Cintron Chikungunya Tariq Al-Araimi and Shikha Mittoo Chikungunya Tariq Al-Araimi and Shikha Mittoo Chikungunya William Rodriguez-Cintron Metrics 7 April 2015Volume 162, Issue 7Page: 532KeywordsArthritisChikungunya infectionCorticosteroid therapyDisclosureDrug therapyLongitudinal studiesMethotrexateRheumatoid arthritis ePublished: 7 April 2015 Issue Published: 7 April 2015 Copyright & PermissionsCopyright © 2015 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...